Archive for November, 2010

Tubal Ligation Failure – Causes of Tubal Ligation Failure

A tubal ligation if performed properly then it gives 100% precaution, but very rarely tubal ligation failure occurs. This is an effective way of contraception, but in extreme cases they fail to prevent pregnancy. In tubal ligation failure, they try to repeat the procedure.

Causes of Tubal Ligation Failure
This failure is caused because of many reasons.Some of the reasons for tubal ligation failure are as follows:

    In some cases, a woman conceives before the procedure is done and pregnancy is diagnosed later. In this case it cannot be told as a failure because the woman was pregnant before the procedure of sterilization.

  • Sometimes, a fistula or a re-anastomosis is formed at the ends of the tube that grows back together when the gap between them is not very large.
  • In extra-coagulation method of tubal sterilization, the ovum can enter into the tube and result in an unintended pregnancy.
  • In cases, where a falope ring is used then the clamp can get loose or fall off.
  • These can cause in re-establishing the fallopian tube continuity which causes pregnancy.

  • Another risk related to this bipolar extra coagulation type of sterilization is ectopic pregnancy that follows after this type of tubal ligation.
  • If the procedure is done in an improper way that is if the tube is not blocked totally or not cut properly or if the device used for the occlusion was not placed properly in the right position.
  • The round ligaments are tied mistakenly instead of fallopian tubes. As a result sterilization is not done properly and tubal ligation failure occurs.
  • If the ligature slips or the other occlusive device.
  • Obesity or pelvic adhesions might have made the procedure difficult.
  • Inefficiency or inability of the surgeon to complete the procedure effectively or problem with the equipment.
  • The failure rate depends upon the technique used to perform tubal ligation. If the procedure used causes more damage to the tubes like the extracoagulation methods or postpartum partial salpingectomy where a large portion of the tube is excised. Then there is lesser rate of tubal ligation failure.
  • If a procedure causes least damage to the tubes like the use of clamps and clips then they have the highest failure.
  • If hysteroscopic method of tubal sterilization is done then you may have to take contraceptives for 3 months. But if you do not go for an alternative method of contraception then it may fail.

Therefore, these are some of the causes for tubal ligation failure. So, when you undergo this sterilization procedure, see that you do not have the same problems.


The Different Styles of Parenting

Every parent wants his or her sons and daughters to grow up to be wonderful human beings. However, how will the career of a child shape up has a lot to do with his or her upbringing. And the upbringing in turn depends on the style of parenting that each child’s parents adhere to. Parenting [...]

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Baby Development Milestones

Pregnancy in 14th Week

This week begins your second trimester and this week begins big developments like your baby can frown, pee, grimace, squint and sometimes suck their thumb. You may also have slight relief from the fatigue that you have in the first trimester. You may experience some pains as the belly pushes the internal organs to one side.

Significant Changes in the Fetus
Some of the changes that takes place in the 14th week are:

  • The facial muscles are getting into form.
  • The baby’s kidneys are producing urine that is released into the amniotic fluid.
  • Your baby is between 3.2 to 4.5 inches from the crown to the toe, that is about the size of a lemon.
  • Your baby may weigh up to 9 ounces by this week.
  • The baby’s body is growing much faster when compared to the head.
  • The arms have grown to a length but legs are still in the growing process.
  • The fetus starts to have ultra fine downy hair that covers the body called the lanugo.
  • The bile juice is secreted by the liver and the spleen helps in the reproduction of red blood cells.These are some of the signs that the internal organs of the fetus is developing.
  • Though you cannot feel the movements or kicks of the baby but the hands and feet are active and flexible.
  • The baby may also have hiccups though the lungs are filled with fluid.
  • The baby may develop hair on the eyebrows and scalp.

Changes in the Mother
Some of the changes in the mother are:

  • You are in your second trimester and you may feel better than the previous weeks due to morning sickness.
  • The breasts may be less tender and and other feelings of uneasiness also reduces, except for few unlucky ones who may still have these symptoms.
  • Your baby pushes the belly because of the uterus is growing due to the fetus, which result in pushing the internal organs to one side.
  • You may suffer from indigestion, heartburn and flatulence.
  • The top part of the uterus is slightly above the pubic bone.
  • You many urinate very frequently.
  • Sleeping can be difficult because your baby bump grows.

These are some of the changes that takes place in the 14th week of pregnancy. You may be happy to see the baby bump as it is the evidence of the baby. All you have to do is to be happy and enjoy this amazing journey to motherhood.


Moving Masterpiece

Create a painting by dipping a ball in paint and then rolling it over your surface.
Toddler Activities from

Feeding Premature Babies Appropriately

Posted by EightNine on Oct 5th 2010

Children that are born prematurely are extraordinarily vulnerable. It is imperative that the parents take the necessary steps to ensure that they are properly protected from their circumstances. One of the strands that will be taken by the parent is baby nutrition. This is meant to ensure that the baby is getting all the nutrients that they need for survival and that they are equipped for the challenges of dealing with the real world. It is all about ensuring that the baby has the opportunity to get the best food at the right time. It starts with the choice of milk that is specifically geared to deal with the conditions that the child might be facing.

Sometimes there are problems with the expression of milk and not all varieties are suitable for the baby. The choices of the milk will make a very big difference to the way that the baby nutrition care process is handled for these premature babies. The basic thing to understand is that the baby is extremely vulnerable and therefore the mum has to take extra care to ensure that the child is given the best start in life. They also have to work within the boundaries that have been set by the experts so that they do not endanger the future of the child in any way. Mothers often find that they are required to make a choice between breast milk and formula. The former is natural while the latter is efficient. The choice of the parent will depend on their priorities and the reaction of the baby.

In some cases it is even recommended that the parent arranges for intravenous IV feeding for the premature babies or even tube feeding. This is because in the early stages the baby is not well developed and they might not be able to cope with the normal diet of things that are given to the baby after birth. The child will have to be taught to suckle as part of the baby nutrition care. As the weeks go by then it is possible that they might start to feed by mouth. By this time the parent will know with some certainty that they have given the child the best possible start in life. Cup feeding might be introduced at about thirty to thirty two weeks depending on the progress of the child.

The unique dietary requirements for premature babies

It is possible to bottle feed these children but at the same time the parent has to recognise that they have unusual baby nutrition care requirements. For example there have been instances where another mother’s milk has been used to supplement the one that is provided by the real mum. This is all about being imaginative in the way that the situation of premature babies is handled. In some cases the baby has such difficult nutritional requirements that supplements are just inevitable. Here are some pointers for parents:

  1. The premature babies will need calories and fluids in proportionate rates that are higher than those that are required for full term babies. One theory is that they have a lot of catching up to do and must be supported along the way in order to reach the maturity stage. Therefore the baby nutrition has to concentrate on designing a diet that is high in both calories and the fluid content. That will ensure that the baby is given a very good chance to make it in the circumstances. It is not a guarantee that the project will work but at least it makes a good start for the baby. In due course they will develop to a level where they are able to cope with the full diet.
  2. The premature babies cannot manage the very large feeds. Therefore it is imperative that extra care is taken with their requirements to ensure that they are getting enough nutrients. If the parents are negligent in this aspect then the baby nutrition care will be lacking. It will also mean that the baby is at serious risk of becoming emaciated. That would make its life chances much more precarious. Even the digestion itself will use up a significant proportion of their limited energy resources. It is important that the babies are given high quality food for growth and that they are given the best chances to combat infections. Feeding might have to be arranged by the IV line or even a tub before they can even progress to breast milk.
  3. The choices of milk for the premature baby include breast milk and formula. The parent can decide to go with one of the options or they might decide to combine them both. The breast milk is one of the great options. The composition of this milk will change as the baby grows in order to meet their dietary needs.  The first milk is very creamy and yellowish. It is known as Colostrum and is quite rich in minerals and anti infection factors as well as growth factors like protein. The mill will help the baby to avoid jaundice signs.
  4. The next phase of breast milk is thinner looking but has about 30% more protein than the initial phase. The minerals will increase from Zinc to phosphorus, magnesium, calcium and sodium. The anti infection elements such as Lactoferrin and Lysozyme will also be present in sufficient qualities to improve this stage of baby nutrition. There are also live cells that will help the baby to fight infection as well as the general function of the body. Antibodies will be added to the milk. Mothers that are HIV positive will not be able to undertake breastfeeding because they are at risk of passing on the infection to the premature babies through breastfeeding.
  5. It is important to note that the breast milk fat is well absorbed by the baby as part of the baby nutrition care program.  There is provision for about 50% of the calorie requirement for the baby that is provided by the breast milk. The milk is rich in the long chain polyunsaturated fatty acids including DHA and Omega 3. These will help the premature baby to develop nerves, brain and eye functionality. The premature babies will have missed out on the natural DHA that passes through the placental in the last weeks of the pregnancy. Therefore a supply from the breast milk is most welcome.

Making the best out of the feeding habits of premature babies

The parent has to take the opportunity of feeding to provide the premature baby with as much nutrient content as possible. The milk might be fortified with proteins and vitamins as well as minerals. This will aid the development of the child. There is a pre term formula for babies that are less than 34 weeks after conception. This means that the manufacturers will attempt to create a version of the breast milk content. They can add things such as DHA but these formulas cannot add things such as live cells and antibodies. The breast milk comes with some undeniable advantages over the formula in terms baby nutrition care:

  1. The nutrients are provided in the right proportions for the age of the baby after conception. This is very important because the baby is at a very vulnerable stage and the feeding has to be the opportunity to deal with all the deficiencies that they might have. It is also the opportunity to give them the best opportunities to grow up strong and resilient.
  2. It is easier to digest the breast milk as part of the baby nutrition care program. It has some fat content and calcium. The milk can also stimulate the bowel function for the baby. In the end it will aid enzyme production and hormone growth. The milk encourages the development of a healthy level of micro organisms known as bowel flora.
  3. The breast milk is able to support the growth rate needs of the premature baby in ways that are out of reach for the standard formula. This is something that the parents must always take into consideration when making decisions on what to do for their babies. The head development will be of particular importance because it affects almost all the functions of the baby from birth to maturity.
  4. As a result of the breast milk, the baby nutrition care is guaranteed to be appropriate for the premature baby. They will have less illness and infections. Things such as pneumonia, ear infections and gastroenteritis will be kept at bay. The milk can also help the baby to avoid allergic reactions and anaemia.

In conclusion the presence of a premature baby has to trigger some special baby nutrition care processes that are focused on giving them the best possible start in life. The diet has to be strictly controlled and limited to the things that are most effective in an effort to help them to grow into healthy babies. There are also important roles that are performed by breast milk in helping the premature baby to cope with their situation.

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Baby Development Milestones

30 Weeks Pregnant and Fetal Development

You are now in your 30 weeks of pregnancy and your baby is 39 cm from head to toe. From this week onwards, your baby’s growth in length wise slows down but you can see tremendous weight gain. Every baby develops differently and this information is just to give you a general idea of how the fetus grows in the uterus. You may also gain weight because of the growing fetus.

Significant Changes in the Fetus
Some of the changes in the fetus that you can see are:

  • Your baby may weigh 1.3 kgs at this week.
  • The length from the head to the toe is 39 cm.
  • The head is around 3.5 inches in diameter.
  • The feet is 2.5 inches long.
  • The wrinkled skin becomes smoother now.
  • The testicles have moved down to the groin.
  • The baby has the controlling weapon that is it controls its own body temperature.
  • The baby’s brain develops in an amazing speed from this week onwards.
  • Some of the things like the ultra fine hair and lanugo disappear slowly but may have patches f it on his shoulders and back.
  • Till the 29th week baby got its nourishment from the mother through the lifeline umbilical cord. But, now the bone marrow is responsible for the production of red blood cells.
  • These red blood cells remove the wastes and supplies oxygen to the fetus.
  • Your baby has started to do the storage service as it starts storing calcium, iron and phosphorus.
  • Eyebrows and eyelashes are developed fully and the hair on the head becomes much thicker.
  • Head and the body are in good proportion.
  • Hands are fully formed along with fingernails.
  • If you observe your ultrasound report then you can find your baby grasping their own feet or hand.
  • The baby opens and closes their eyelids and make rapid eye movements.

Changes in the Mother
Some of the changes seen in mother are:

  • You could experience slight swelling of the ankles and feet. If the swelling is mild then it will reduce but if it is severe then consult a doctor.
  • Your uterus is four inches above the umbilicus.
  • As you have 10 weeks yet to go for the birth of the baby, your fetus, placenta and uterus will grow.
  • From this time you will start gaining the weight of 500 grams a week that is one pound.

These are some of the changes that takes place in 30 weeks of pregnancy. You need to take care of yourself so that you have a healthy and happy pregnancy.


4 Weeks Pregnant Symptoms

Your baby at 4 weeks is still very small about .014 to .04 inches long. It is equal to ½ to 1 mm long and your baby begins to change from by 4 weeks or resembles a tadpole with eyes. You can observe many changes during the 4 weeks of pregnancy. 4 weeks pregnant symptoms are many like you can see implantation bleeding, particular cravings for foodstuffs, frequent urination and a change in basal metabolic rate. These are some of the symptoms in the 4 weeks of your pregnancy.

4 Weeks Pregnant Symptoms
There are many symptoms that you can observe during the first four weeks of your pregnancy. They are:

  • Tender and swollen breasts.
  • The areolar region around the nipple gets wider and darker.
  • Lower abdominal cramps.
  • Frequent urination.
  • Food cravings.
  • Tiredness and Fatigue.
  • Constipation and heartburn along with headaches.
  • Mood swings.
  • Morning sickness or Nausea.

Other Symptoms in the First 4 Weeks of Pregnancy
Some of the other symptoms are:

Cravings for Particular Foods
The most common or unusual type of symptom is desiring for particular foods and about 85% of women have reported at least one craving during their pregnancy period.

Implantation Cramping and Spotting
Women experience slight spotting and cramping by the 8th day of ovulation. This is caused by the implantation of the egg in the uterus.

Frequent Urination
Frequent urination is another common symptom after implantation.

Fatigue, Headaches, and Heartburn – and Morning Sickness
All these symptoms are commonly seen. Fatigue is a common thing along with heartburn and headaches. Morning sickness is another symptom that is very commonly seen in most of the women. There is an increase in the progesterone levels, which can cause tiredness or extreme fatigue.

Basal Body Temperature
The basal body temperature remains high and continues to remain the same some days from the 4th week. This is another symptom of pregnancy that occurs very commonly.

Home Remedies During the 4th Week of pregnancy
Some of the simple remedies are:

  • Strictly avoid drinking alcohol and smoking caffeinated products.
  • Eat a healthy and a balanced diet to meet the nutritional needs of the mother and the baby as well.
  • Exercising is another factor to have a healthy pregnancy.
  • You can take small afternoon naps to deal with fatigue.
  • Soda crackers and ginger ale can help to reduce nausea and consuming small meals than going for larger meals, may help reduce nausea.
  • Keep yourself well hydrated as it will reduce the frequency of headaches.

These are some of the significant symptoms that are seen in 4 weeks of pregnancy. Eat a balanced diet and take care yourself and the baby to have a healthy and happy pregnancy.


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Legislature hears testimony on impact of ending prenatal care

On Friday, November 19, a Legislative committee met to hear testimony from medical professionals and others on the impact of ending prenatal care under Medicaid for approximately 1,5000 women.

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